1. An update on existing therapeutic options and status of novel anti-metastatic agents in breast cancer: Elucidating the molecular mechanisms underlying the pleiotropic action of Withania somnifera (Indian ginseng) in breast cancer attenuation.
- Author
-
Srivastava, Aditi, Ahmad, Rumana, Yadav, Kusum, Siddiqui, Sahabjada, Trivedi, Anchal, Misra, Aparna, Mehrotra, Sudhir, Ahmad, Bilal, and Ali Khan, Mohsin
- Subjects
- *
WITHANIA somnifera , *BREAST cancer , *GINSENG , *CANCER cell proliferation , *CHINESE medicine , *CERVICAL cancer - Abstract
• The present paper is of significant relevance in finding novel and effective weapons originating from Traditional Chinese Medicine and Ayurveda to address the molecular heterogeneity of cancer and at the same time projecting Withania somnifera (WS) as a potent phytoestrogen. • Also significant advancements in pharmacology and drug technology aimed at improving the efficacy of cancer therapies and extending the life expectancy of patients diagnosed with malignancy. It emphasizes the gender disparity in breast cancer occurrence, with the female gender being the primary risk factor. • Withania somnifera (WS), commonly known as Indian ginseng, has garnered attention for its traditional use in treating various ailments. Recent research has demonstrated promising anti-breast cancer properties of WS and its phytoconstituents. These findings suggest the potential of WS as both a prophylactic and therapeutic adjunct to standard breast cancer treatments. The review delves into the experimental evidence supporting the use of WS in breast cancer management, shedding light on its molecular mechanisms and targets. • The review explores the broader implications of WS in hormonally-induced cancers, including ovarian, uterine, and cervical cancers. By elucidating the multiple molecular mechanisms through which WS acts against these cancers, the review aims to provide insights into breast cancer progression and metastasis. • Moreover, WS is not recognized as a phytoestrogen-rich herb, however, some studies suggests it may exhibit estrogenic properties. These potential highlights include its ability to modulate hormonal balance, support reproductive health and alleviate symptoms associated with hormonal imbalances. Also, a few papers of this type have been published in the journal in the last few years. Therefore, the present review highlights the unexplored potential of WS, which might significantly contribute towards the pleiotropic potential of WS. Major significant advancements in pharmacology and drug technology have been made to heighten the impact of cancer therapies, improving the life expectancy of subjects diagnosed with malignancy. Statistically, 99% of breast cancers occur in women while 0.5–1% occur in men, the female gender being the strongest breast cancer risk factor. Despite several breakthroughs, breast cancer continues to have a worldwide impact and is one of the leading causes of mortality. Additionally, resistance to therapy is a crucial factor enabling cancer cell persistence and resurgence. As a result, the search and discovery of novel modulatory agents and effective therapies capable of controlling tumor progression and cancer cell proliferation is critical. Withania somnifera (L.) Dunal (WS), commonly known as Indian ginseng, has long been used traditionally for the treatment of several ailments in the Indian context. Recently, WS and its phytoconstituents have shown promising anti-breast cancer properties and, as such, can be employed as prophylactic as well as therapeutic adjuncts to the main line of breast cancer treatment. The present review is an attempt to explore and provide experimental evidences in support of the prophylactic and therapeutic potential of WS in breast cancer, along with a deeper insight into the multiple molecular mechanisms and novel targets through which it acts against breast and other hormonally-induced cancers viz. ovarian, uterine and cervical. This exploration might prove crucial in providing better understanding of breast cancer progression and metastasis and its use as an adjunct in improving disease prognosis and therapeutic outcome. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF